Sep 15th, 2015
UnitedHealth Group, Inc. has agreed to pay $9.5 million to settle a putative class action accusing the company of underpaying California out-of-network ambulatory surgical centers (ASCs) in violation of the Employee Retirement Income Security Act of 1974 (ERISA), Law360 reported Sept 10. An estimated 250 ASCs may be eligible to participate in the settlement. ERISA is ...
Apr 15th, 2011
Longtime health data provider and publisher Ingenix will soon be known as OptumInsight as owner UnitedHealth Group (UHG) rebrands its health care service businesses under its master brand Optum beginning in June. Ingenix Soon OptumInsight was last modified: July 5th, 2011 by admin aapc...
May 1st, 2010
By Dawson Ballard, Jr., CPC, CCS-P, CEMC CPT® modifiers 90, 91, 92, and 99 often are overlooked by providers and coders. Whether coding lab procedures or procedures requiring multiple modifiers, it’s important to understand the correct usage and guidelines for reporting these modifiers. Modifier 90 The CPT® 2010 states to use modifier 90 Reference (outside) ...
Mar 12th, 2010
Health Net, United Health Group and United subsidiary Ingenix have discontinued efforts to collect medical records for Medicare Advantage members in Connecticut due to numerous inquiries and complaints from physicians and the state’s department of insurance regarding their methods. Letters requesting the information were faxed, which sent up a red flag for many physicians. United Desists ...
Nov 25th, 2009
Conversion to the ASC X12 version 5010 architecture, mandated by the Health Insurance Portability and Accountability Act (HIPAA), is a reality. The apparent opinion of many payers and providers, however, is that it is but a dream. According to a recent Ingenix survey, only 46 percent of hospitals and providers say they have begun to assess ...